Finance/RCM (62)

Calls are answered quickly, keeping patients engaged in the central scheduling system, says Yuriy Kotlyar, cofounder and CEO of American Health Connection.

The bottom line for insurance companies has been crunched, which affects providers as well, says Everett Wilson, a healthcare regulatory attorney and Miami office managing partner at Polsinelli Law Firm.

A fundamental point of star ratings is balancing the interest of patients with that of taxpayers, says Dr. Don Rucker, former ONC head and current chief strategy officer of 1upHealth.

Virtual AI agent Anna offers consumers a safe space to ask questions and make payments, says Dugan Winkie, head of Commercial Strategy at Cedar.

Maite Malet, director of investments and corporate development at Asabys Partners, discusses how the Barcelona-based venture firm will use its recent raise of €180 million ($200 million) to invest in healthcare solutions globally.

AKASA has found a return of $1.5 million in recovered additional revenue per each $1 billion of total patient revenue, says CEO and cofounder Malinka Walaliyadde.

Information is extracted in real time, speeding up the process to approve or to ensure medical necessity is met, says Dr. Traci Granston, VP of clinical strategy at Cohere Health.

Automated electronic PA process uses FHIR interoperability for greater efficiency, says Greg LeGrow, executive director of Payer Product Market Strategy at athenahealth and Mark Fleming, senior director of Product at Availity.

Cody Coonradt, CEO and founder of Billy, discusses how patients, advocates and insurance agents use the company's app, which displays hospital pricing data by location, to negotiate prices for medical procedures.

Oron Afek, CEO of Vim, works on the provider side and Ashok Chennuru, global chief data and insights officer at Elevance Health, works on the payer side toward scaling artificial intelligence for automation.

Alberta Spreafico, senior vice president of health innovation at Eversana, explains how the company, along with the Digital Therapeutics Alliance, analyzes, maps and reports on reimbursement frameworks in Europe for digital therapeutics.

Greg Surla, senior vice president and chief information security officer for FinThrive, explains why the Change Healthcare cyberattack was a watershed moment and how federal cybersecurity performance goals tie into redundancy essentials.